| Cortney Sisco, | |
|
1923 E Joyce Blvd, Fayetteville, AR 72703-5293 | |
| (479) 695-8066 | |
| Not Available |
| Full Name | Cortney Sisco |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1923 E Joyce Blvd, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386170645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTR2662 (Arkansas) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023684370 PECOS PAC ID: 2163339722 Enrollment ID: O20210825003977 |
| Mailing Address | Practice Location Address |
|---|---|
| Cortney Sisco, 4746 W Canyon Run Dr, Fayetteville, AR 72704-3401 Ph: (479) 466-0185 | Cortney Sisco, 1923 E Joyce Blvd, Fayetteville, AR 72703-5293 Ph: (479) 695-8066 |
Mrs. Chelsea Morehead, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 474 N Coral Canyon Loop Apt 417, Fayetteville, AR 72704 Phone: 501-454-6588 | |
Kelly Langham, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd Ste 2, Fayetteville, AR 72703 Phone: 479-521-8326 Fax: 479-521-5439 | |
Mrs. Morgan Makayla Miller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2580 E Joyce Blvd Ste 12, Fayetteville, AR 72703 Phone: 479-521-7337 Fax: 479-521-7338 | |
Sydney Young, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd Ste 2, Fayetteville, AR 72703 Phone: 479-521-8326 | |
Mishael Farrand, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3801 Johnson Mill Blvd Ste B, Fayetteville, AR 72704 Phone: 479-856-6400 Fax: 479-856-6623 | |
Brett Polaski, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 153 E Monte Painter Dr, Fayetteville, AR 72703 Phone: 479-444-2200 | |
Sarah Reed, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3317 N Wimberly Dr Fl 2, Fayetteville, AR 72703 Phone: 479-587-3117 Fax: 479-587-3185 |